Organization
STAR MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN R SCYOC (CEO)
(910) 330-2335
Entity
Organization
Contact information
Practice address
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546-7637
(910) 333-0283
(910) 333-0513
Mailing address
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546-7637
(910) 333-0283
(910) 333-0513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
05/10/2016
Last updated
06/17/2019
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